Ms Camille Pheona Shako, NP - Medicare Nurse Practitioner in Brooklyn, NY

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Ms Camille Pheona Shako, NP is a medicare enrolled "Nurse Practitioner - Family" in Brooklyn, New York. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Open Door Family Medical Center Inc and her current practice location is 7404 5th Ave, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (718) 439-5111.

Ms Camille Pheona Shako is licensed to practice in New York (license number 342467) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477149250.

Contact Information

Ms Camille Pheona Shako, NP
7404 5th Ave,
Brooklyn, NY 11209-2704
(718) 439-5111
Not Available

Map and Direction




Provider's Profile

Full NameMs Camille Pheona Shako
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location7404 5th Ave, Brooklyn, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Camille Pheona Shako graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1477149250
  • Provider Enumeration Date: 12/16/2020
  • Last Update Date: 05/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5698188407
  • Enrollment ID: I20210428003005

Medical Identifiers

Medical identifiers for Ms Camille Pheona Shako such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477149250NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 342467 (New York)Primary
208D00000XGeneral Practice 342467 (New York)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Open Door Family Medical Center Inc711383538045

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Camille Pheona Shako allows following entities to bill medicare on her behalf.
Entity NameDoctors United, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508979162
PECOS PAC ID: 1153212162
Enrollment ID: O20040322000115
Entity NameOpen Door Family Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285893719
PECOS PAC ID: 7113835380
Enrollment ID: O20150224001267
Entity NameApple Med Urgent Care, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770960593
PECOS PAC ID: 2163727181
Enrollment ID: O20160229001240

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Camille Pheona Shako is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Camille Pheona Shako, NP
472 Gramatan Ave Apt I3,
Mount Vernon, NY 10552-2900

Ph: (914) 610-0561		Ms Camille Pheona Shako, NP
7404 5th Ave,
Brooklyn, NY 11209-2704

Ph: (718) 439-5111

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.